Lingling Salang is certified in Reproductive Medicine as well as Obstetrics and Gynecology. She has practiced as specialists in reproductive medicine, infertility and endoscopy surgery in Khon Kaen University, Khon Kaen, Thailand. Her views her role as a fertility specialist consultant in individualized patient care. She has built this model after years of experience in research, evaluation, teaching and administration both education institutions and in hospital.
Statement of the problem: A few studies have been published on the outcome of pregnancy among patients with Systemic Sclerosis (SSc) but to our knowledge none among Thai patients with SSc. Our objective was to determine the pregnancy outcome among Thai patients with SSc. Methodology & Theoretical Orientation: A 11-year retrospective study (between 2007 and 2017) was conducted at Srinagarind Hospital, Khon Kaen University. All pregnant women with SSc were enrolled to evaluate their pregnancy outcomes. Findings: Seven pregnancies from 5 women with SSc were reviewed. The pregnant women were between 23 and 37 years. Four of the 5 had the limited cutaneous SSc subset and two had overlap with other connective tissue diseases. Only 1 patient had pulmonary fibrosis before being pregnant but she continued the pregnancy without any worsening of the disease. Four of seven SSc pregnant participants required pregnancy termination for uncontrolled autoimmune hemolytic anemia, eclampsia with hemolytic elevated liver enzyme and low platelet (HELLP), fetal distress, and premature rupture of membrane, respectively. The pre-term delivery occurred in 2 pregnant SSc patients and the maternal and fetal outcomes were normal. Conclusion & Significance: The number of pregnant SSc patients in the 11-year historical review was limited previously studied. Most of patents had an uncomplicated pregnancy but the respective maternal and fetal outcome in those with SSc overlap with other connective tissue disease trended to be worse than in pure SSc. Family planning is suggested for all reproductive age SSc patients.
Jung A Kim is a doctoral student. She worked at the Kyoungpook National University Hospital Emergency Room from 2012 to 2015. She is interested in many problems of emergency room nurses. As nurses are mostly women, this is also the nature of women's career problems. Improving the working environment of the nurse can help provide better nursing to the patient. She wants people to be interested in this problem.
This study was aimed at investigating the effect of violence experience and self compassion of the post-traumatic stress disorder(PTSD) working in emergency department nurses. Violence experience is a physical violence that involves threats or intimidation, physical threats such as kicking or attempting to swig a fist, and physical violence experiences, such as throwing, kicking, or knocking objects. PTSD is a mental disorder that occurs after experiencing a serious injury or an event that threatens the physical well-being of an individual, and experiences severe feelings of fear, helplessness, and fear, thereby seriously affecting interpersonal and occupational functioning. Self-compassion is an attitude of caring for oneself with mercy in the case of suffering of failure. Violence experience, self-compassion, and post-traumatic stress disorder were measured using a structured questionnaire among 96 nurses in the emergency departments located in D and G cities in South Korea from June to July of 2017. The collected data were analyzed by using IMB SPSS Statistics version 20.0. Also, correlations among violence experience, subfactor of self compassion, and post-traumatic stress disorder were examined by Pearson's correlation coefficient. To examine influencing factors on post-traumatic stress disorder, hierarchical regression method used. In this study, the physical threat experience has a significant effect on the post-traumatic stress disorder and the explanatory power of post-traumatic stress disorder is increased(β=.383, p<.001). Self kindness showed a negative correlation with post-traumatic stress disorder(r=-.392, p<.001). Particularly, self kindness, which is a subfactor of self compassion, has a significant effect on post-traumatic stress disorder and the explanatory power of post-traumatic stress disorder is decreased(β=-.365, p<.001). It suggests that, when developing intervention programs for post-traumatic stress disorder in emergency department nurses, physical threats and self kindness should be taken into consideration.